Nursing Informatics and the Foundation of Knowledge, 6th Edition,
McGonigle and Mastrian
Chapters 1-25
TEST BANK
,Table of Content:
Chapter 1 Nursing Science and Concepts of Knowledge
Chapter 2 Introduction to Information, Information Science, and Information Systems
Chapter 3 Computer Science and the Foundation of Knowledge Model
Chapter 4 Introduction to Cognitive Science and Cognitive Informatics
Chapter 5 Ethical Applications of Informatics
Section II Perspectives on Nursing Informatics
Chapter 6 History and Evolution of Nursing Informatics
Chapter 7 Nursing Informatics as a Specialty
Chapter 8 Legislative Aspects of Nursing Informatics: HIPAA, HITECH, and Beyond
Section III Nursing Informatics Administrative Applications: Precare and Care Support
Chapter 9 Systems Development Life Cycle: Nursing Informatics and Organizational Decision-
Making
Chapter 10 Administrative Information Systems
Chapter 11 The Human-Technology Interface
Chapter 12 Electronic Security
Chapter 13 Achieving Excellence by Managing Workflow and Initiating Quality Projects
Section IV Nursing Informatics Practice Applications: Care Delivery
Chapter 14 The Electronic Health Record and Clinical Informatics
Chapter 15 Informatics Tools to Promote Patient Safety, Quality Outcomes, and
Interdisciplinary Collaboration
Chapter 16 Patient Engagement and Connected Health
Chapter 17 Using Informatics to Promote Community and Population Health
Chapter 18 Telenursing and Remote Access Telehealth
Section V Education Applications of Nursing Informatics
Chapter 19 Nursing Informatics and Nursing Education
Chapter 20 Simulation, Game Mechanics, Virtual Worlds, and Realities in Nursing Education
Section VI Research Applications of Nursing Informatics
Chapter 21 Nursing Research: Data Collection, Processing, and Analysis
Chapter 22 Informatics Based Research Processes: Data Mining and Artificial Intelligence
Chapter 23 Generating and Translating Evidence for Practice
Section VII Imagining the Future of Nursing Informatics
Chapter 24 The Art of Caring in Technology-Laden Environments
Chapter 25 Our Expanding Realities and the Metaverse
,CHAPTER 1: NURSING SCIENCE AND FOUNDATION OF KNOWLEDGE
Question 1:
The nurse understands that nursing informatics is recognized as a specialty area of practice by
which statement?
1. Research priorities for nursing informatics include the development of a standard
nursing language and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse
is eligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the environment,
health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups
and organizations within the United States.
Correct Answer: 1
Rationale 1: The development of research priorities is a key point in a specialty practice.
Although degrees at the master's level are available, the degree required for credentialing is
typically at the bachelor's level and includes experience in the field. Current demands for safer,
cost-effective, quality care require evidence of the best practices supported by research.
Rationale 2: Such a formal educational program does not necessarily mean a specialty area of
practice. Although degrees at the master's level are available, the degree required for
credentialing is typically at the bachelor's level and includes experience in the field. The
development of research priorities is a key point in a specialty practice.
Rationale 3: Your chosen response refers to the entire discipline of nursing. The specialty of
nursing informatics integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom into nursing practice. The
development of research priorities is a key point in a specialty practice.
Rationale 4: There are many work groups in the United States related to informatics that focus
on the specialty of informatics practice. One example is the Nursing Informatics Special Interest
Group of the International Medical Informatics Association. The development of research
priorities is a key point in a specialty practice.
,Question 2
Which statement by the nurse verifies that the nurse is "information literate"?
1. "I understand how to search for a website and evaluate its usefulness for health care needs."
2. "I utilize databases in the health care setting to input client information such as
skin condition."
3. "I use email over the Internet to correspond with clients and provide information."
4. "I can use software applications such as word processing, spreadsheets, and presentations."
Correct Answer: 1
Rationale 1: Information literacy necessitates that nurses have the ability to find, evaluate, and
effectively use information. The other answers are examples of computer literacy but do not have
the higher functions of information literacy.
Rationale 2: Your chosen response is an example of computer literacy, but it does not have the
higher functions of information literacy. Information literacy necessitates that nurses have the
ability to find, evaluate, and effectively use information.
Rationale 3: Your chosen response is an example of computer literacy but, it does not have the
higher functions of information literacy. Information literacy necessitates that nurses have the
ability to find, evaluate, and effectively use information.
Rationale 4: This answer is an example of computer literacy but, it does not have the higher
functions of information literacy. Information literacy necessitates that nurses have the ability to
find, evaluate, and effectively use information.
Question 3
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and
oxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
m
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Correct Answer: 4
, Rationale 1: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
information.
Rationale 2: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
information.
Rationale 3: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
information.
Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into
information. It can then be used to aid clinical decision making and client monitoring. All other
responses included pieces of data without interpretation.
Question 4
Which statement best distinguishes the difference between information literacy and computer literacy?
1. Information literacy is unnecessary in health care whereas computer literacy provides the
basis for computer order entry.
2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse
to access data.
3. A nurse can extrapolate data with computer literacy and not information skills.
4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to
a familiarity with the use of personal computers.
Correct Answer: 4
Rationale 1: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
Rationale 2: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
Rationale 3: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
, Rationale 4: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:
Question 5
Which statement indicates the appropriate level of informatics competencies to the correct nurse?
1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling
catheter care.
2. The novice nurse using a spreadsheet to document medication reactions.
3. An experienced staff nurse creates databases employing SNOMED.
4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
Correct Answer: 1
Rationale 1: The nurse informatics specialist has the ability and education to access data
and create a model of excellence based on the findings.
Rationale 2: According to research, nurses are graduating from programs without experience
with databases, spreadsheets, and statistical packages. There is a learning curve from graduation
to comfort with the information system and its capabilities.
Rationale 3: An experienced staff nurse does not have the skills to create a database using a
standardized language.
Rationale 4: Beginning nurses are comfortable with basic skills and should be able to retrieve
information from the system, as well as interpret data. Your chosen response is not an example
of the competencies required for the informatics specialist; its level is too high.